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Open Access 01-12-2021 | Oral Cancer | Research

Oral cancer knowledge and screening behavior among smokers and non-smokers in rural communities

Authors: Tzu-Jung Wong, Qian Li, Virginia Dodd, Wei Wang, Jiang Bian, Yi Guo

Published in: BMC Cancer | Issue 1/2021

Abstract

Background

Research suggests having an oral and pharyngeal cancer (OPC) examination for early diagnosis can increase survival rate. However, the OPC screening rate is low in certain populations. To improve OPC screening rate, this study identified factors that are associated with having an OPC examination.

Methods

Participants with landlines and aged 25 years and older were recruited from six northern Florida counties. Bivariate and logistic regressions were used to predict the outcome of whether the participants had ever had an OPC examination as well as whether participants had ever heard of an OPC examination.

Results

Of 2260 participants with a mean age of 55.9 ± 15.0 years, the majority of participants never smoked (53.4%), self-identified as Whites (70.6%), and had some college or 2-year degree education (30.3%). Smokers were significantly less likely to have ever heard of an OPC examination than those who never smoked. Significant interaction between smoking status and race, and smoking status and social support interaction were found. Whites who never smoked were more likely to have had an OPC examination than non-Whites who never smoked. Former and current smokers with greater social support were more likely to have had an OPC examination than those with lower social support.

Conclusion

The findings from this study inform the need to enhance the awareness of having an OPC examination among smokers and to reduce barriers for racial minority populations to receive an OPC examination. Future research is warranted to develop interventions to target certain populations to improve the rate of OPC examination.

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Title: Oral cancer knowledge and screening behavior among smokers and non-smokers in rural communities
Authors: Tzu-Jung Wong
Qian Li
Virginia Dodd
Wei Wang
Jiang Bian
Yi Guo
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Oral Cancer
Oral Cavity Carcinoma
Published in: BMC Cancer / Issue 1/2021
Electronic ISSN: 1471-2407
DOI: https://doi.org/10.1186/s12885-021-08198-5

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